Carlene Willis, FNP-C in Banning, CA - Medicare Nurse Practitioner

Carlene Willis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Banning, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm, Southern California Emergency Medicine and her current practice location is 264 N Highland Springs Ave Ste 4, Banning, California. You can reach out to her office (for appointments etc.) via phone at (951) 769-0079.

Carlene Willis is licensed to practice in California (license number 95008027) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740796358.

Contact Information

	Carlene Willis, FNP-C
	264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082
	(951) 769-0079
	Not Available

Map and Direction

Provider's Profile

Full Name	Carlene Willis
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	264 N Highland Springs Ave Ste 4, Banning, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carlene Willis graduated from nursing school in 2017

NPI Data:

NPI Number: 1740796358
Provider Enumeration Date: 12/19/2017
Last Update Date: 12/19/2017

Medicare PECOS Information:

PECOS PAC ID: 9739412685
Enrollment ID: I20190607000225

Medical Identifiers

Medical identifiers for Carlene Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740796358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95008027 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loma Linda University Medical Center	Loma linda, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1065
Southern California Emergency Medicine	8628128196	37

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carlene Willis allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Desert Valley Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639117864 PECOS PAC ID: 4880595875 Enrollment ID: O20040113000803

Entity Name	Southern California Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639314255 PECOS PAC ID: 8628128196 Enrollment ID: O20090604000499

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carlene Willis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carlene Willis, FNP-C 264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082 Ph: () -	Carlene Willis, FNP-C 264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082 Ph: (951) 769-0079

Reviews and Comments

Nurse Practitioner Nurses in Banning, CA

Kevin Simmons, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave Ste 1b, Banning, CA 92220 Phone: 951-769-7191
Monemala Philavong-danh, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950
Laura A Macmanus, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 951-845-6993
Susan Jane Sheedy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-846-0313
Kelly Marie Stormes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6109 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313
Donald Byron Beeler Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11555 1/2 Potrero Rd, Banning, CA 92220 Phone: 909-864-1097
Shu Dong, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12359 Malki Rd, Banning, CA 92220 Phone: 951-922-2058 Fax: 888-551-2116

Carlene Willis, FNP-C - Medicare Nurse Practitioner in Banning, CA